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NPI Code Detail

MEDICARE: OLUTOSIN ADEDOTUN DIKE

MEDICARE: OLUTOSIN ADEDOTUN DIKE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1972360337
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLUTOSIN ADEDOTUN DIKE
Provider Business Mailing Address
First Line : 4912 COLONEL BEALL PL
Second Line :
City : UPPER MARLBORO
State : MD
Zip : 20772-2892
Country : US
Telephone Number : 301-254-2685
Fax Number :
Provider Business Practice Location Address
First Line : 3298 FORT LINCOLN DR NE APT 1010
Second Line :
City : WASHINGTON
State : DC
Zip : 20018-4342
Country : US
Telephone Number : 202-680-4909
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2024
Last Update Date : 03/05/2024

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Directions to “ OLUTOSIN ADEDOTUN DIKE ” Practice Location

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